
        		<fieldset style="width:70%; margin:0 auto; border:1px solid black">
                	<legend>Registreren</legend>
                    <form action="lesplan.php" method="post">
                    	<table>
                        	<tr><th>Voornaam : </th><td><input type="text" name="naam" />*</td></tr>
                            <tr><th>Achternaam : </th><td><input type="text" name="achternaam" />*</td></tr>
                            <tr><th>Wachtwoord : </th><td><input type="Password" name="wachtwoord1" />*</td></tr>
                            <tr><th>Bevestig<br /> wachtwoord : </th><td valign="bottom"><input type="Password" name="wachtwoord2" />*</td></tr>
                            <tr><th>Email : </th><td><input type="Password" name="email" />*</td></tr>
                            <tr><th>Geboorte datum (D-M-J) : </th><td><input type="text" name="geb_datum" />*</td></tr>
                            <tr><th><br /><br />Lesplan : </th><td>
                            	<br /><br /><select name="lesplan" style="float:left;">
                                	<option value="auto">Auto rijden</option>
                                    <option value="brommer">Brommer rijden</option>
                                    <option value="moter">Moter rijden</option>
                                </select>
                            </td></tr>
                            <tr><td colspan="2" style="text-align:center; padding-top:20px;"><input type="submit" name="registeren" value="verzenden" /></td></tr>
                        </table>
                    </form>
                </fieldset>


